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What is accomplished during a phacoemulsification cataract extraction?

Updated: 8/19/2019
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GaleEncyofMedicine

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13y ago

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Ultrasonic vibration is applied to the lens to break it up into very small pieces which are then aspirated out of the eye with suction by the ophthalmologist.

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Q: What is accomplished during a phacoemulsification cataract extraction?
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What is the most common type of cataract surgery?

The most common type of cataract surgery is phacoemulsification. This modern procedure involves the use of an ultrasonic device to emulsify and remove the cloudy lens inside the eye, which is the cataract. Here's a step-by-step overview of the procedure: *Anesthesia*: Typically, local anesthesia is used to numb the eye, ensuring the patient feels no pain during the surgery. Sedatives may also be administered to help the patient relax. *Corneal Incision*: The surgeon makes a small incision in the cornea, the clear, dome-shaped surface that covers the front of the eye. *Capsulorhexis*: A small, circular opening is made in the capsule (the membrane that encloses the lens) to access the cataract. *Phacoemulsification*: An ultrasonic probe is inserted through the corneal incision into the capsule. This probe vibrates at an ultrasonic frequency to break up the cloudy lens into small pieces. *Aspiration*: The emulsified pieces of the lens are then gently suctioned out of the eye. *Lens Implantation*: After the natural lens has been removed, it is replaced with an artificial intraocular lens (IOL). The IOL is folded and inserted through the original incision, then it unfolds once in place. *Closure*: Typically, the incisions are small enough to heal without sutures, sealing themselves naturally. This procedure typically takes about 30 minutes and is generally safe and effective, offering rapid recovery of vision for most patients. Alternative techniques, such as extracapsular cataract extraction (ECCE) or intracapsular cataract extraction (ICCE), are less commonly used today due to the effectiveness and reduced recovery time associated with phacoemulsification.


When is an intraocular lens inserted during phacoemulsification?

The insertion of an intraocular lens (IOL) usually immediately follows phacoemulsification.


What is Conventional Cataract Surgery?

Conventional cataract surgery, or phacoemulsification, is a well-established surgical technique widely practiced for decades. It involves using a small incision, manually removing the cataract-diseased lens, and implanting an intraocular lens (IOL) to restore vision. The surgeon uses handheld surgical instruments to perform each step during the procedure.


During what kind of cataract surgery can an intraocular lens be clipped onto the iris?

When the intracapsular extraction method is used, an IOL may be clipped onto the iris.


Why is sodium carbonate added during solvent extraction?

It is usually added during an extraction in order to make the solution alkaline. Often times, this aids in the efficiency of the extraction.


What is prescribed for cataract patients who do not receive an IOL during surgery?

Contact lenses and cataract glasses (aphakic lenses) are prescribed if an IOL was not inserted.


What do lenss do?

replace the natural lens that is removed during cataract surgery


What purpose does sodium chloride serve during extraction of caffeine?

Sodium chloride improve the yield of caffeine extraction from water during the process of decaffeinization.


What is the purpose of Trichloroacetic acid in DNA extraction?

Trichloroacetic acid is used for precipitation of the DNA during its extraction.


What should I expect during the laser cataract surgery procedure?

During laser cataract surgery, a laser is used to make precise incisions and break up the cataract for removal. The surgeon then replaces the clouded lens with an artificial lens. The procedure is typically outpatient, and you may be given mild sedation.


What do intraocular lenss do?

replace the natural lens that is removed during cataract surgery


Why grind the liver in a DNA extraction lab?

the purpose of grinding any substance during dna extraction is cell loosening.